Jose Antonio Gonzalez, DDS
NPI #1508430091 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1508430091
- Entity Type
- Individual
- Name
- Jose Antonio Gonzalez, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 18, 2021
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 888 THACKERAY TRL STE 214
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4342
- Phone
- (262) 567-9116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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